Libyan Journal of Medical Sciences

CASE REPORT
Year
: 2017  |  Volume : 1  |  Issue : 1  |  Page : 18--20

Rhabdomyolysis and acute renal failure associated with pneumococcal meningitis: A case report and literature review


Fahmi Yousef Khan, Hind Yousef, Abdel-Naser Elzouki 
 Department of Medicine, Hamad General Hospital, Hamad Medical Corporation, Weill Cornell Medical College, Doha, Qatar

Correspondence Address:
Fahmi Yousef Khan
Department of Medicine, Hamad General Hospital, P. O. Box 3050, Doha
Qatar

We report a case of acute pneumococcal meningitis complicated by rhabdomyolysis and acute renal failure in a 46-year-old Indian man who was brought to the emergency department in an unconscious state after a witnessed generalized tonic–clonic seizure that resolved spontaneously. Lumbar puncture was performed, and cerebrospinal fluid (CSF) analysis revealed white blood cell count of 1500 cells/mm3 (98% neutrophils); glucose level <0.1 mmol/L; and protein level 5.57 g/L. Blood chemistry showed high serum creatinine and creatine phosphokinase (CPK). The patient was sent to the Intensive Care Unit, where he received intravenous antibiotic with early and aggressive hydration, while CSF culture was pending. Two days later, the CSF culture yielded Streptococcus pneumoniae which was sensitive to ceftriaxone and penicillin G. Therefore, ceftriaxone continued for a total of 14 days. The patient maintained good urine output throughout the illness, and his renal parameters improved without dialysis. Eighteen days after admission, he was discharged without fever and with a normal renal function and normal creatine kinase level.


How to cite this article:
Khan FY, Yousef H, Elzouki AN. Rhabdomyolysis and acute renal failure associated with pneumococcal meningitis: A case report and literature review.Libyan J Med Sci 2017;1:18-20


How to cite this URL:
Khan FY, Yousef H, Elzouki AN. Rhabdomyolysis and acute renal failure associated with pneumococcal meningitis: A case report and literature review. Libyan J Med Sci [serial online] 2017 [cited 2022 Jun 29 ];1:18-20
Available from: https://www.ljmsonline.com/article.asp?issn=2588-9044;year=2017;volume=1;issue=1;spage=18;epage=20;aulast=Khan;type=0